Sharon Durphy
Clinical Nutrition Support Pharmacist at CAPS-BBraun (Central Admixture Pharmacy Services), board-certified in Nutrition Support Pharmacy (BCNSP) and Fellow of ASPEN (FASPEN).
1
APPEARANCES
1
PODCASTS
Aug 13, 2026
Beverly HolcombHOST
Sharon, can you address the main findings with regard to prescribing practices, noting where progress has been made and where persistent gaps remain?
Sharon DurphyGUEST
So we definitely identified that PN is being prescribed by several different, different disciplines.
Sharon DurphyGUEST
The physician involvement has decreased, and the involvement of dieticians and pharmacists has definitely increased.
Sharon DurphyGUEST
Prescribing practices definitely lack standardization and do not align with the current published guidance, and that introduces numerous opportunities for medication errors.
Sharon DurphyGUEST
About 50% of the respondents reported using macronutrient dosing formats and units of measure that are not consistent with our published guidelines using grams or calories per day.
Sharon DurphyGUEST
And too many of the organizations are still prescribing phosphate salts as mill equivalents of the cation instead of millimoles of phosphate.
Beverly HolcombHOST
What improvements in compounding were identified from this survey compared to past surveys, and what are the recurring gaps?